SUSAN ASIBAL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000521

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

ASIBAL

Business Name

SUSAN ASIBAL

Original Issue Date

05/24/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/11/2010